- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,258.40 / $25,931.70 / $45,665.80
| Facility | | $16,258.40 | $25,931.70 | $45,665.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,942.38 / $22,270.24 / $32,374.55
| Facility | | $10,942.38 | $22,270.24 | $32,374.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,033.48 / $20,163.29 / $33,778.23
| Facility | | $15,033.48 | $20,163.29 | $33,778.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,237.09 / $19,532.70 / $26,444.78
| Facility | | $13,237.09 | $19,532.70 | $26,444.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,112.03 / $20,041.95 / $30,298.06
| Facility | | $7,112.03 | $20,041.95 | $30,298.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,309.33 / $21,570.02 / $29,297.13
| Facility | | $15,309.33 | $21,570.02 | $29,297.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $16,242.65 / $44,380.18
| Facility | | $3,775.00 | $16,242.65 | $44,380.18 |